Family and marriage

The Fort Bragg study: what can we conclude?

Article Abstract:

The findings of the Fort Bragg Evaluation on mental health care services for children and adolescents in the article by Leonard Bickman and colleagues are under doubt because a continuum of care for children with severe problems requires intensive services. Doubts continue over the adequacy of the measures used for such a diverse population. Subjects in the Fort Bragg project received only outpatient services. The evaluation failed to take the cost containment features of managed care into account. Data collected after six months of intake fails to provide an adequate report on the impact of psychopathology.

Author: Friedman, Robert M.

Publisher:SpringerPublication Name:Journal of Child and Family StudiesSubject:Family and marriageISSN:1062-1024Year:1996

Analysis, Childhood mental disorders, Child psychopathology

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What we can learn from Fort Bragg

Article Abstract:

Failure of the Fort Bragg Evaluation of child psychiatric services to show any positive effect of integrated services can be due to marginal individual effects of each service. The impact of integrated services must be tested only after testing the individual impact of the services to be integrated. Greater funding toward the development of focused interventions may provide empirically validated treatments for child and family problems, that may be integrated into a more effective system of care. Treatment outcome researchers must make their work more accessible to therapists.

Author: Weisz, John R., Han, Susan H., Valeri, Sylvia M.

Publisher:SpringerPublication Name:Journal of Child and Family StudiesSubject:Family and marriageISSN:1062-1024Year:1996

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Evaluation of the Fort Bragg managed care experiment

Article Abstract:

The Fort Bragg Evaluation of mental health services has been criticized mainly in terms of utilization of services, interpretation of data, and generalization of results. Treatment teams and case managers should rely less on traditional outpatient services to get a more accurate test of continuum of care. The present evaluation provides more positive results than implied and suggests that the continuum of care must be developed rather than discarded. Since the study was conducted on children from a military base, its results must be cautiously generalized.

Author: Burchard, John D.

Publisher:SpringerPublication Name:Journal of Child and Family StudiesSubject:Family and marriageISSN:1062-1024Year:1996